Organization
GIRLIE AQUINO UY DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIRLIE AQUINO UY DDS (PRESIDENT)
(951) 352-2112
Entity
Organization
Contact information
Practice address
9867 MAGNOLIA AVE STE E, RIVERSIDE, CA 92503-3519
(951) 352-2112
(951) 352-2088
Mailing address
9867 MAGNOLIA AVE STE E, RIVERSIDE, CA 92503-3519
(951) 352-2112
(951) 352-2088
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
56967
CA
305R00000X
Preferred Provider Organization
Primary
56967
CA
305S00000X
Point of Service
56967
CA
Other
Enumeration date
11/11/2012
Last updated
11/11/2012
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